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SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED
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SHJ25-007 Kittitas County and Wellpoint Agreement - PARTIALLY EXECUTED
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Last modified
6/12/2025 12:53:35 PM
Creation date
6/12/2025 12:49:58 PM
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Meeting
Date
6/17/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve Agreement SHJ25-007 WELLPOINT - 1115 Medicaid Re-Entry Initiative
Order
14
Placement
Consent Agenda
Row ID
132242
Type
Contract
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8.6 Transactions Prior to Termination. Except as otherwise set forth in this Agreement, termination shall have no <br />effect on the rights and obligations of the parties arising out of any transaction under this Agreement occurring <br />prior to the date of such termination. <br />8.7 Continuation of Care Upon Termination. If this Agreement or any Participation Attachment terminates for any <br />reasons other than one of the grounds set forth in the "Immediate Termination" section, then Provider shall, <br />at Wellpoint's discretion, continue to provide Covered Services to all designated Members under this <br />Agreement or any terminating Participation Attachment, as applicable, in accordance with Regulatory <br />Requirements. During such continuation period, Provider agrees to: (i) accept reimbursement from Wellpoint <br />for all Covered Services furnished hereunder in accordance with this Agreement and at the rates set forth in <br />the PCS attached hereto; and (ii) adhere to Wellpoint's Policies, including but not limited to, Policies regarding <br />quality assurance requirements, referrals, pre -authorization and treatment planning. <br />8.8 Survival. The provisions of this Agreement set forth below shall survive termination or expiration of this <br />Agreement or any Participation Attachment(s): <br />8.8.1 Publication and Use of Provider Information; <br />8.8.2 Payment in Full and Hold Harmless; <br />8.8.3 RecoupmenttOffset/Adjustment for Overpayments; <br />8.8.4 Confidentiality/Records; <br />8.8.5 Indemnification and Limitation of Liability; <br />8.8.6 Dispute Resolution; <br />8.8.7 Continuation of Care Upon Termination; and <br />8.8.8 Any other provisions required in order to comply with Regulatory Requirements. <br />ARTICLE IX <br />GENERAL PROVISIONS <br />9.1 Amendment. Except as otherwise expressly permitted under Regulatory Requirements, upon sixty (60) days <br />prior written notice to Provider, this Agreement may be amended by the mutual agreement of the parties as <br />evidenced in writing and signed by the parties. In addition, Wellpoint shall be entitled to amend this Agreement <br />as follows without the written agreement of Provider: <br />9.1.1 Upon thirty (30) days prior written notice to Provider, if the amendment is being effected by Wellpoint <br />to comply with a Regulatory Requirement, such amendment shall be effective as of the effective date <br />set forth in the amendment. Notwithstanding the above, Wellpoint shall be entitled to amend the <br />Agreement upon less than thirty (30) days prior written notice if a shorter notice period is required in <br />order to comply with such Regulatory Requirement. <br />9.1.2 Upon sixty (60) days prior written notice to Provider, to the extent the amendment is being effected <br />by Wellpoint for a purpose other than compliance with a Regulatory Requirement. Provider shall be <br />entitled to object to the amendment, by written notice provided to Wellpoint within sixty (60) days <br />following Provider's receipt of such amendment. If a timely objection is received by Wellpoint, then <br />the amendment shall take effect until the parties mutually agree on a resolution to the objection or <br />this Agreement is terminated in accordance with the terms hereof. <br />9.1.3 An amendment to the Agreement may not be made retroactive without the consent of the Provider. <br />9.2 Assignment. This Agreement may not be assigned by Provider without the prior written consent of Wellpoint. <br />Any assignment by Provider without such prior consent shall be voidable at the sole discretion of Wellpoint. <br />Wellpoint may assign this Agreement in whole or in part. In the event of a partial assignment of this Agreement <br />by Wellpoint, the obligations of the Provider shall be performed for Wellpoint with respect to the part retained <br />and shall be performed for Wellpoint's assignee with respect to the part assigned, and such assignee is solely <br />responsible to perform all obligations of Wellpoint with respect to the part assigned. The rights and obligations <br />Washington Enterprise Provider Agreement PCS 11 1183932156 <br />0 2024 July— Wellpolnl Washington, Inc. 05/05/2025 <br />
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